| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,792 |
2,411 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,019 |
3,583 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,107 |
868 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
444 |
364 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,231 |
2,079 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
323 |
241 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,722 |
841 |
$21K |
| 92551 |
|
1,227 |
954 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
564 |
451 |
$7K |
| 96127 |
|
1,635 |
1,330 |
$7K |
| 99173 |
|
1,265 |
987 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
49 |
$4K |
| 99401 |
|
169 |
138 |
$2K |
| 90651 |
|
254 |
201 |
$2K |
| 85018 |
|
905 |
710 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
119 |
$1K |
| 36416 |
|
909 |
714 |
$988.72 |
| 81003 |
|
114 |
107 |
$208.90 |
| 90686 |
|
380 |
327 |
$66.77 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$25.48 |
| 90461 |
|
67 |
62 |
$20.00 |
| 99000 |
|
41 |
41 |
$0.00 |
| 90734 |
|
57 |
43 |
$0.00 |